| Regimental number | 17504 |
| Occupation | Farm hand |
| Next of kin | Mother, Mrs M A Giles, 214 Springfield Road, St Albans, Christchurch |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 19th Reinforcements, New Zealand Mounted Rifles, Mounted Rifle Brigade |
| Embarkation details | Unit embarked from Wellington on board Waihora on |
| Sources | Nominal Roll Vol. 2: Roll 46, p. 2 |